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The End of PHE Flexibilities – How to Navigate Upcoming Changes in Healthcare

On January 30, 2022, President Biden announced that the Covid-19 Public Health Emergency (PHE) will finally end on May 11, 2023.[1] Since the PHE was declared on January 31, 2020, emergency declarations and waivers were...more

South Carolina Medicaid to Restart Member Eligibility Reviews – Details and Action Steps for Providers and Their Medicaid...

At the end of January 2022, President Biden announced that the Covid-19 Public Health Emergency (PHE) will end on May 11, 2023. At that time, the Medicaid Program “continuous enrollment provision” will end and State Medicaid...more

CMS Directs Providers to “Prepare to Return to Normal”- Getting Ready for the

The current extension of the federal public health emergency declared as a result of the COVID-19 pandemic (“PHE”) will expire on October 15, 2022. As the need wanes for the waivers and flexibilities implemented due to the...more

Rapid Rise in Telehealth Leads to Significant Oversight: How to Prepare Now for New Audit Activities

The Pandemic led to a rise in the use of telehealth and a recognition of its value. When the COVID-19 pandemic began, the use of telehealth to provide healthcare services and enhance access to health care grew at an...more

Behavioral Health Scores a Big Win with Telehealth Waivers During Pandemic, but Audit Risks are High

BackgroundPrior to the current public health emergency (PHE), Medicare allowed for coverage of telehealth services primarily in rural areas where beneficiaries had difficulty accessing quality health care. Based on the...more

To Combat COVID-19 Surge, CMS Expands the “Hospitals Without Walls” Program by Launching the “Acute Hospital Care At Home”...

As hospitalizations due to COVID-19 reach records levels across the country, the Centers for Medicare & Medicaid Services (CMS) rolled out an unprecedented comprehensive strategy to increase hospital capacity as part of the...more

The Pros and Cons of Federal COVID-19 Liability Protections

Congress is currently battling over another coronavirus relief package and one of the main areas of contention is COVID-19 liability protections for businesses. The current CARES ACT offers some liability protection to...more

Staying Ahead of Changes to the Bad Debt Rule

CMS has made dramatic rule changes that reduce administrative barriers to assist Medicare providers during this public health emergency. Many Medicare providers are struggling to maintain financial viability due to a decrease...more

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